How much rates vary
Facilitymedian $2,570 · 10th to 90th $417 to $5,623Professionalmedian $468 · 10th to 90th $166 to $1,000
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $141.25 Median $234.42 Typical High $14,454.40 | Facility | None | $141.25 | $234.42 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $831.76 | Professional | None | $141.25 | $229.09 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $549.54 Typical High $1,071.52 | Professional | None | $194.98 | $549.54 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $977.24 Typical High $1,862.09 | Facility | None | $537.03 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $741.31 | Professional | None | $165.96 | $288.40 | $741.31 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $2,570.40 Typical High $4,786.30 | Facility | None | $144.54 | $2,570.40 | $4,786.30 |
DeanCare Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $645.65 | Professional | None | $263.03 | $416.87 | $645.65 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $2,187.76 Typical High $4,786.30 | Facility | None | $338.84 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $645.65 Typical High $1,047.13 | Professional | None | $223.87 | $645.65 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $676.08 | Professional | None | $288.40 | $446.68 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $416.87 | Facility | None | $112.20 | $223.87 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $398.11 Typical High $676.08 | Professional | None | $223.87 | $398.11 | $676.08 |
Quartz Setting Facility Modifier None Typical Low $537.03 Median $1,348.96 Typical High $2,041.74 | Facility | None | $537.03 | $1,348.96 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $407.38 | Professional | None | $165.96 | $275.42 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | None | $331.13 | $331.13 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $389.05 Median $616.60 Typical High $1,023.29 | Professional | None | $389.05 | $616.60 | $1,023.29 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,677.35 | Facility | None | $707.95 | $2,818.38 | $4,677.35 |
United Setting Professional Modifier None Typical Low $162.18 Median $436.52 Typical High $891.25 | Professional | None | $162.18 | $436.52 | $891.25 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $117.49 | Facility | 52 · Reduced service | $70.79 | $70.79 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $46.77 | Facility | 53 · Discontinued | $28.18 | $28.18 | $46.77 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $173.78 | Facility | 54 · Surgery only | $104.71 | $104.71 | $173.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $34.67 | Facility | 55 · Aftercare only | $20.89 | $20.89 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $23.44 | Facility | 56 · Pre-op care only | $14.13 | $14.13 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $117.49 Typical High $446.68 | Professional | 52 · Reduced service | $70.79 | $117.49 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $46.77 Typical High $177.83 | Professional | 53 · Discontinued | $28.18 | $46.77 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $173.78 Typical High $676.08 | Professional | 54 · Surgery only | $104.71 | $173.78 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $34.67 Typical High $134.90 | Professional | 55 · Aftercare only | $20.89 | $34.67 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $23.44 Typical High $89.13 | Professional | 56 · Pre-op care only | $14.13 | $23.44 | $89.13 |
Where Wisconsin sits
The same service costs 4.0 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 2nd of 51
$575
AK $631KY $158
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.